Patient Financial Access Specialist - Op
Yale New Haven Health
- New Haven, CT
- Permanent
- Full-time
Responsibilities
- 1. Patient Throughput: Ensures all required information obtained from referring physicians and providers in clinical areas are provided to the third party payers to ensure reimbursement for services delivered within the outpatient setting.
- 1.1 Accurately schedules patient follow-up physician appointments in the appropriate scheduling system using guidelines and requirements identified within the system.
- 2. Insurance: Demonstrates a solid understanding of the various insurance carriers' options and completes insurance entry accurately, satisfying billing requirements to ensure a payable account.
- 2.1 Exhibits a comprehensive understanding of the online eligibility and insurance website systems including understanding patient's eligibility, determining benefits and co-pay amount due. Documents appropriate computer system according to departmental policies.
- 3. Complex Appointment Scheduling: Coordinates and supports tasks related to patient appointment scheduling.
- 3.1 Maintains a strong working knowledge of the Epic system with the ability to schedule complex and time sensitive appointment types.
- 4. Resource Management/Quality Assurance (QA): In collaboration with Supervisor/Manager, provides support in the other outpatient service department and routinely provides coverage as necessary to maintain skill sets.
- 4.1 Independently optimizes time related to patient appointment scheduling.
- 5. Customer Service: Provides service excellence as outlined in the Health System Standards of Professional Behavior.
- 5.1 Ensures smooth functioning of all processes in order to guarantee a positive patient experience by acknowledging and receiving patients and visitors to the department following the YNHHS Standards of Professional Behavior.
- 6. Template Management - Addendum: Works with the clinical staff to maintain Epic Templates for various locations.
- 6.1 Meets with clinical team to plan and create scheduling templates for various disciplines in the Epic System.
- 7. Performs other duties as assigned by Management.
- 7.1 As needed, reviews and updates all training materials and provides training to other staff members.